Objective Analysis and discussion on bone surgery clinic for children with infantile humerus distal epiphyseal injury to the significance of early diagnosis and treatment, in order to pediatric clinical diagnosis and treatment of humerus distal epiphyseal injuries. Methods 51 cases of pediatric bone surgery in our hospital were humerus distal epiphyseal injury in children with clinical data were retrospectively analyzed, depending on the length of the course of the disease, it is divided into 2 weeks group and the group for more than 2 weeks. All children are using the needle was open reduction, a few children with suture fixation and plaster for external fixation, 3-5 weeks after dismantling gypsum in the functional recovery of external fixation for regular exercise. Re-sults 51 cases after clinical treatment, postoperative evaluation for the children of 31 cases(60.78%), the score for the good of chil-dren 15 cases (29.41%), score of 4 cases (7.84%), childrenˊs score for the poor children in 1 case (1.96%) in the clinical treatment of fine rate was 90.20% (46/51). Within 2 weeks in duration of clinical treatment in children with fine rate was 96.77% (30/31), the course of the disease in children with more than 2 weeks of the clinical treatment of fine rate was 80.95%(17/21), a significant difference was found in two groups of data, the statistical significance (P<0.05). Conclusion Clinically treated children humerus distal epiphyseal injuries for concurrent intra-articular fractures, after the onset of large effect on the normal function of patients with joints. For children with course in a minimum of 2 weeks, the treatment was significantly lower than the course of the disease within two weeks of children, therefore, for the treatment of these diseases on early creations reset, with early postoperative func-tional recovery after exercise effect is better. Early diagnosis and treatment for promoting bone healing and functional recovery have a positive clinical significance..%目的：分析和探讨骨外科临床上对于小儿肱骨远端骨骺损伤患儿进行早期诊治的意义，以期为小儿肱骨远端骨骺损伤的临床诊断和治疗提供借鉴。方法对该院骨外科2010年5月—2014年6月收治的51例小儿肱骨远端骨骺损伤患儿临床资料进行回顾性分析，根据病程长短不同，将其分成2周内组和2周以上组。所有患儿均采用切开复位、克氏针少数患儿配合缝合内固定以及石膏托进行外固定，术后3~5周拆除石膏托外固定进行常规的功能恢复锻炼。结果51例患儿经过临床治疗，术后评价为优的患儿31例（60.78%），评分为良的患儿15例（29.41%），评分为可的患儿4例（7.84%），评分为差的患儿1例（1.96%），临床治疗的优良率为90.20%（46/51）。病程在2周以内患儿临床治疗的优良率为96.77%（30/31），病程在2周以上的患儿的临床治疗的优良率为80.95%（17/21），两组数据差异有统计学意义（P＜0.05）。结论临床上收治的肱骨远端骺损伤患儿多为并发关节内骨折，发病后对患者关节的正常功能影响较大。对于病程在2周以上的患儿，治疗的优良率显著低于病程在2周以内患儿，因此，对于这类疾病的治疗一般以早期剖解复位，术后配合术后早期的功能恢复锻炼效果较好。早期诊断和治疗对于促进骨骼愈合及功能恢复有积极的临床意义。
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